<!doctype html>
<html>
<head>
<meta charset="utf-8">
<title>详细信息</title><style>
		.shouye a{text-decoration: none;}
	body{background-color: #E8E7E3;}</style>
</head>

<body>
	<h1 class="shouye" align="left"><a href="系统用户管理.html" >返回</a></h1>
	<div class="wrapper">

  
    <div class="content-wrapper">

       
        <section class="content-header">
            <h1 align="center">
                确诊病患管理 
            </h1>
          
        </section>
      

        <form action="/patient/addPatient" method="post">



           
            <section class="content"> 

                <div class="panel panel-default">
                    <div class="panel-heading"><strong>详细病患信息</strong></div>
                    <div class="row data-type">

                        <input type="text" name="baseId"
                                    th:value="${baseId}" hidden="" >
                        <div class="col-md-2 title">感染源</div>

                        <div class="col-md-4 data">
                          <input type="text" class="form-control" name="infectionSource"
                                   placeholder="感染源" value="">
                        </div>

                        <div class="col-md-2 title">住院时间</div>
                      <div class="col-md-4 data">
                            <input type="date" class="form-control" name="onsetDate"
                                   placeholder="住院时间" value="">
                        </div>
                        <div class="col-md-2 title">症状</div>
                        <div class="col-md-4 data">
                            <input type="text" class="form-control" name="symptoms"
                                   placeholder="症状" value="">
                        </div>
                        <div class="col-md-2 title">诊治医院</div>
                        <div class="col-md-4 data">
                            <input type="text" class="form-control" name="hospital"
                                   placeholder="年龄" value="">
                        </div>
                        <div class="col-md-2 title">是否重症</div>
                        <div class="col-md-4 data">
                            <select class="form-control select2" style="width: 100%"
                                    name="critical">
                                <option value="是" selected="selected">是</option>
                                <option value="否">否</option>
                            </select>
                        </div>
                        <div class="col-md-2 title">备注</div>
                        <div class="col-md-4 data">
                            <input type="text" class="form-control" name="note"
                                   placeholder="备注" value="">
                        </div>
                    </div>
                </div>
              
                <div class="box-tools text-center">
                    <button type="submit" class="btn bg-maroon"><a href="系统用户管理.html">保存</a></button>
                </div>
                </section>
           
        </form>
    </div>
   

</div>
</body>
</html>
